Frank Bisignano - May 8, 2023 Form 4 Insider Report for FISERV INC (FI)

Role
Chairman, President and CEO, Director
Signature
/s/ Eric C. Nelson (attorney-in-fact)
Stock symbol
FI
Transactions as of
May 8, 2023
Transactions value $
-$12,158,760
Form type
4
Date filed
5/10/2023, 05:47 PM
Previous filing
Feb 27, 2023
Next filing
May 12, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction FI Common Stock Gift $0 -3.64K -0.13% $0.00 2.87M Apr 28, 2023 Direct
transaction FI Common Stock Options Exercise $5.13M +109K +3.81% $46.97 2.98M May 8, 2023 Direct
transaction FI Common Stock Options Exercise $11.8M +224K +7.51% $52.81 3.2M May 8, 2023 Direct
transaction FI Common Stock Tax liability -$29.1M -244K -7.6% $119.50 2.96M May 8, 2023 Direct F1
holding FI Common Stock 4.29K May 8, 2023 See Footnote F2
holding FI Common Stock 81.6K May 8, 2023 By Trust F3
holding FI Common Stock 30K May 8, 2023 See Footnote F4
holding FI Common Stock 730 May 8, 2023 See Footnote F2
holding FI Common Stock 14.9K May 8, 2023 By Spouse
holding FI Common Stock 300 May 8, 2023 See Footnote F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction FI Employee Stock Option (right to buy) Options Exercise $0 -109K -100% $0.00* 0 May 8, 2023 Common Stock 109K $46.97 Direct F5
transaction FI Employee Stock Option (right to buy) Options Exercise $0 -224K -100% $0.00* 0 May 8, 2023 Common Stock 224K $52.81 Direct F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options.
F2 These shares are held in an account, of which the reporting person acts as custodian, for the benefit of a minor.
F3 These shares are held by trusts, of which the reporting person serves as trustee, for the benefit of the reporting person's children.
F4 Held by the Frank J. Bisignano 2022 Grantor Retained Annuity Trust.
F5 This option vested in three equal installments on each anniversary of January 1, 2015.
F6 This option vested on September 9, 2019, upon the satisfaction of certain performance conditions.